<!DOCTYPE html>
<html>
<head> 
	<meta charset="utf-8" /> 
	<title>场地预约</title> 
	<meta name="description" content="" /> 
	<meta name="viewport" content="initial-scale=1, maximum-scale=1, user-scalable=no, width=device-width" /> 
	<link href="https://cdn.bootcss.com/bootstrap/3.3.7/css/bootstrap.min.css" rel="stylesheet" /> 
</head> 
<body> 
	<div> 
		<div class="container"> 
			<div class="row"> 
				<div class="col-lg-8 col-lg-offset-2 col-md-10 col-md-offset-1 col-sm-12 col-xs-12"> 
					<form> 
						<div class="form-group"> 
							<label for="exampleInputEmail1">企业名称：</label> 
							<input type="email" class="form-control" id="exampleInputEmail1" placeholder="" /> 
						</div> 
						<div class="form-group"> 
							<label for="exampleInputPassword1">所属街道：</label> 
							<input type="password" class="form-control" id="exampleInputPassword1" placeholder="" /> 
						</div> 
						<div class="form-group"> 
							<label for="exampleInputPassword1">主营产品：</label> 
							<input type="password" class="form-control" id="exampleInputPassword1" placeholder="" /> 
						</div> 
						<div class="form-group"> 
							<label for="exampleInputPassword1">联系人：</label> 
							<input type="password" class="form-control" id="exampleInputPassword1" placeholder="" /> 
						</div> 
						<div class="form-group"> 
							<label for="exampleInputPassword1">职务：</label> 
							<input type="password" class="form-control" id="exampleInputPassword1" placeholder="" /> 
						</div> 
						 <label class="control-label">1.贵企业所属的行业是</label>
						<select class="form-control" name='asd'>
							<option>科技创新类</option> <option>新一代信息技术产业</option> <option>智能制造与高端装备制造</option> <option>新材料与新能源</option> <option>文化创意</option> <option value="">医药与大健康</option><option value="">物流及现代服务业（金融、电子商务等）</option><option value="">智能家居</option><option value="">现代农业</option><option value="">传统制造业</option><option value="">其他</option>
						</select> 
						<div class="form-group"> 
							<label for="exampleInputPassword1">所属街道：</label> 
							<input type="password" class="form-control" id="exampleInputPassword1" placeholder="" /> 
						</div> 
						<div class="form-group"> 
							<label for="exampleInputPassword1">所属街道：</label> 
							<input type="password" class="form-control" id="exampleInputPassword1" placeholder="" /> 
						</div> 
						<div class="checkbox"> 
							<label> <input type="checkbox" /> Check me out </label> 
						</div> 
						<button type="submit" class="btn btn-default">Submit</button> 
					</form> 
				</div> 
			</div> 
		</div> 
	</div>  
</body>
</html>